P4ADNow Urges Congress To Prioritize Patients By Promoting Competition And Lowering Drug Prices By Including Bipartisan Reform To FDA’s Citizen Petition Process In End-Of-Year Budget Package
P4ADNow Urges Congress To Prioritize Patients By Promoting Competition And Lowering Drug Prices By Including Bipartisan Reform To FDA’s Citizen Petition Process In End-Of-Year Budget Package
WASHINGTON, D.C. — As Congress works towards finalizing an end-of-year budget package, Patients For Affordable Drugs Now (P4ADNow) sent a letter today urging the Senate Committee on Health, Education, Labor and Pensions and the U.S. House Committee on Energy and Commerce to boost generic competition and lower prescription drug prices by including the bipartisan legislation Ensuring Timely Access to Generics Act (S.562) in the end-of-year budget package. This bill addresses abuse of the Food and Drug Administration’s (FDA) citizen petition process in order to speed approval of more affordable generic drugs to lower prices for patients and save the government hundreds of millions of dollars. P4ADNow was joined on the letter by the Alliance of Community Health Plans (ACHP), American College of Physicians, American Society of Health-System Pharmacists (ASHP), Blue Cross Blue Shield Association, The Campaign for Sustainable Rx Pricing, Friends of Cancer Research, and Protect Our Care.
“In order to restore the intended purpose of the citizen petition process and ensure timely market entry of competition, we urge you to include the bipartisan Ensuring Timely Access to Generics Act in the year-end fiscal package,” reads the letter. “CBO reports the reform will save the government $207 million over ten years.”
Currently, the citizen petition process is often misused by brand name drug manufacturers that submit sham petitions in an effort to delay or block generic approval and market entry. The Ensuring Timely Access to Generics Act (S.562), sponsored by Sens. Shaheen (D-NH), Cassidy (R-LA), Bennet (D-CO), and Rubio (R-FL), would strengthen the citizen petition process, more effectively weeding out petitions that are filed with the intent to delay the approval of generics or biosimilars. The bill restores the integrity of the process, decreases administrative burden on the FDA, and will improve speedy patient access to more affordable generics and biosimilars.
“Passing the bipartisan citizen petition bill would be a win-win for Congress – it boosts competition by decreasing barriers for cheaper generic drugs to come to market, driving down prices for patients and saving the government hundreds of millions of dollars,” said David Mitchell, a patient with incurable blood cancer whose drugs carry a list price of more than $900,000 per year and founder of Patients For Affordable Drugs Now. “We are grateful for Sens. Shaheen, Cassidy, Bennet, Rubio, and Baldwin’s leadership in advocating for this important reform to ensure the system works as intended for patients and consumers.”
In addition to the citizen petition bill, P4ADNow also supports inclusion of two other priority bills in Congress’ end-of-year budget – Retaining Access and Restoring Exclusivity (RARE) Act (S. 4185) and Increasing Transparency in Generic Drug Applications Act (H.R. 7032) – which will clarify orphan drug exclusivity to crack down on prolonged monopolies and enhance the FDA’s authority to communicate with generic competitors.
Read the full letter and list of signers here and below.
December 5, 2022
The Honorable Patty Murray Chairwoman U.S. Senate Committee on Health, Education, Labor and Pensions 428 Senate Dirksen Office Building Washington, DC 20510
The Honorable Richard Burr Ranking Member U.S. Senate Committee on Health, Education, Labor and Pensions 428 Senate Dirksen Office Building Washington, DC 20510
The Honorable Frank Pallone Chairman U.S. House Committee On Energy and Commerce 2152 Rayburn House Office Building Washington, DC 20515
The Honorable Cathy McMorris Rodgers Ranking Member U.S. House Committee on Energy and Commerce 2152 Rayburn House Office Building Washington, DC 20515
Dear Chairwoman Murray, Ranking Member Burr, Chairman Pallone, and Ranking Member McMorris Rodgers,
As Congress works toward finalizing an end-of-year budget package, we urge the chambers to include bipartisan legislation to address abuse of the Food and Drug Administration’s (FDA) citizen petition process in order to reduce drug prices and save the government hundreds of millions of dollars by speeding generics to market to increase competition. The Ensuring Timely Access to Generics Act (S.562), sponsored by Sens. Shaheen (D-NH), Cassidy (R-LA), Bennet (D-CO), and Rubio (R-FL), strengthens the FDA’s ability to reject citizen petitions if it believes the primary purpose of the petition is to delay approval of a generic competitor. CBO reports the reform will save the government $207 million over ten years. Sen. Baldwin (D-WI) offered the legislation as an amendment during the Senate HELP Committee’s mark-up of the FDA user fee reauthorization legislation; it passed with a strong, bipartisan 16-6 vote.
The citizen petition process at the FDA is intended to provide a forum for patients, consumer groups, and other entities to raise safety concerns about FDA decision making, including drug approvals. Too often, however, this process is co-opted by brand-name drug companies to delay competition. Currently, the FDA must delay authorization of any drug in order to process all citizen petitions. Brand drug companies often game the system by raising invalid, outdated, or extraneous issues in order to block or slow competition from generic products that are poised to enter the market. To that point, research has revealed that brand-name drug makers were behind 92% of all 505(q) citizen petitions filed between 2011 and 2015. Overwhelmingly, these petitions were “shams,” not raising legitimate safety concerns, which is why the FDA threw out nine of every 10 of these petitions.
Both the Trump and Biden administrations have identified submission of sham citizen petitions as a threat to timely approval of generics and competition. In 2018, Former FDA Commissioner Scott Gottlieb noted that manipulation of the process “can add to resource burdens on the generic drug review process and the FDA’s regulatory decision making” and decrease the speed of the approval process. In its 2021 drug pricing competition plan, the Biden administration also said that legislative changes were needed to “make it harder for brand manufacturers to abuse the regulatory process to prevent the introduction of biosimilar and generic products” such as through manipulation of the citizen petition process.
In order to restore the intended purpose of the citizen petition process and ensure timely market entry of competition, we urge you to include the bipartisan Ensuring Timely Access to Generics Act in the year-end fiscal package.
Sincerely,
Patients For Affordable Drugs Now Alliance of Community Health Plans American College of Physicians American Society of Health-System Pharmacists Blue Cross Blue Shield Association The Campaign for Sustainable Rx Pricing Friends of Cancer Research Protect Our Care
The Honorable Patty Murray Chairwoman U.S. Senate Committee on Health, Education, Labor and Pensions 428 Senate Dirksen Office Building Washington, DC 20510
The Honorable Richard Burr Ranking Member U.S. Senate Committee on Health, Education, Labor and Pensions 428 Senate Dirksen Office Building Washington, DC 20510
The Honorable Frank Pallone Chairman U.S. House Committee On Energy and Commerce 2152 Rayburn House Office Building Washington, DC 20515
The Honorable Cathy McMorris Rodgers Ranking Member U.S. House Committee on Energy and Commerce 2152 Rayburn House Office Building Washington, DC 20515
Dear Chairwoman Murray, Ranking Member Burr, Chairman Pallone, and Ranking Member McMorris Rodgers,
As Congress works toward finalizing an end-of-year budget package, we urge the chambers to include bipartisan legislation to address abuse of the Food and Drug Administration’s (FDA) citizen petition process in order to reduce drug prices and save the government hundreds of millions of dollars by speeding generics to market to increase competition. The Ensuring Timely Access to Generics Act (S.562), sponsored by Sens. Shaheen (D-NH), Cassidy (R-LA), Bennet (D-CO), and Rubio (R-FL), strengthens the FDA’s ability to reject citizen petitions if it believes the primary purpose of the petition is to delay approval of a generic competitor. CBO reports the reform will save the government $207 million over ten years. Sen. Baldwin (D-WI) offered the legislation as an amendment during the Senate HELP Committee’s mark-up of the FDA user fee reauthorization legislation; it passed with a strong, bipartisan 16-6 vote.
The citizen petition process at the FDA is intended to provide a forum for patients, consumer groups, and other entities to raise safety concerns about FDA decision making, including drug approvals. Too often, however, this process is co-opted by brand-name drug companies to delay competition. Currently, the FDA must delay authorization of any drug in order to process all citizen petitions. Brand drug companies often game the system by raising invalid, outdated, or extraneous issues in order to block or slow competition from generic products that are poised to enter the market. To that point, research has revealed that brand-name drug makers were behind 92% of all 505(q) citizen petitions filed between 2011 and 2015. Overwhelmingly, these petitions were “shams,” not raising legitimate safety concerns, which is why the FDA threw out nine of every 10 of these petitions.
Both the Trump and Biden administrations have identified submission of sham citizen petitions as a threat to timely approval of generics and competition. In 2018, Former FDA Commissioner Scott Gottlieb noted that manipulation of the process “can add to resource burdens on the generic drug review process and the FDA’s regulatory decision making” and decrease the speed of the approval process. In its 2021 drug pricing competition plan, the Biden administration also said that legislative changes were needed to “make it harder for brand manufacturers to abuse the regulatory process to prevent the introduction of biosimilar and generic products” such as through manipulation of the citizen petition process.
In order to restore the intended purpose of the citizen petition process and ensure timely market entry of competition, we urge you to include the bipartisan Ensuring Timely Access to Generics Act in the year-end fiscal package.
Sincerely,
Patients For Affordable Drugs Now Alliance of Community Health Plans American College of Physicians American Society of Health-System Pharmacists Blue Cross Blue Shield Association The Campaign for Sustainable Rx Pricing Friends of Cancer Research Protect Our Care
In just one month, the next two drug price provisions of the Inflation Reduction Act will go into effect — capping Medicare Part D insulin copays at $35 a month and making vaccines, for the first time, free for all Medicare beneficiaries. Patients and elected officials are continuing to tout the historic drug price reforms’ significance. Arizona patient Carol Brown is relieved that Congress finally listened to patients’ needs and passed legislation that would help her save thousands of dollars annually on prescription drugs that she needs as a lifelong asthma sufferer. “As I get older, I become more vulnerable to other medical conditions. I am relieved that no matter what happens, I can plan my budget to afford the $2,000 co-pay cap,” she shared on the Part D out-of-pocket cap that will go into effect in 2025. This week, Rep. Paul Tonko joined an AARP tele-town hall in New York and shared that passing the Inflation Reduction Act was one of the biggest milestones in his career. Next year, over ten thousand Medicare beneficiaries who need insulin in Rep. Tonko’s district will start to feel the relief from the new law’s $35-per-month insulin copay caps. Truly a victory for patients. — (Arizona Capitol Times, WAMC Northeast Public Radio)
2. Big Pharma Watchdog Alerts
Big Pharma is continuing to put profits over patients – here’s a roundup of the industry’s latest. Drug company Provention Bio set the price of a new treatment that delays the onset of type 1 diabetes for an average of 2 years at nearly $200,000 for a 14-day course. This new innovation could really help many Americans, but at an almost $200,000 price tag is price gouging plain and simple, putting it out of reach for so many patients. Similarly, a new breakthrough treatment, Hemgenix, for hemophilia is now the most expensive drug in the world with a price of $3.5 million set by its manufacturer CSL Behring. Gene therapy Hemgenix represents life-changing innovation for patients who can afford it, but that new innovation is worthless for those who can’t. Lastly, Merck appears to be eying a product hop for its blockbuster cancer drug Keytruda. The company is developing an injectable version of the medication, which Merck claims would warrant a new patent. The move could extend Merck’s monopoly on the drug by more than a decade, keeping prices high and limiting access for patients. Just another case of Big Pharma gaming the system to extend its pricing power. — (New York Times, CNN, Reuters)
3. Spotlight on Congress: Drug Prices Matter
This week, Rep. Annie Kuster defeated pharma-friendly Rep. Scott Peters in the bid to lead the New Democrat Coalition. A quick recap of Rep. Peters’ drug pricing history: After receiving hundreds of thousands of dollars from the pharmaceutical industry, Rep. Peters and three colleagues attempted to first block and then successfully weakened the drug price provisions in the Inflation Reduction Act. “Our goal was to get the strongest possible bill out of the House and in fact, it was Scott Peters who led the effort to water it down,” said P4AD’s David Mitchell. “Scott Peters has been and continues to be a handmaiden of the industry.” Rep. Peters is the only one of the four members who will serve in the 118th Congress – Rep. Kurt Schrader lost his primary to a Democrat who called out his pharma-friendly policies, and Reps. Kathleen Rice and Stephanie Murphy did not seek re-election. Rep. Peters’ defeat this week “means that one of the pharmaceutical industry’s biggest allies in Congress will not be leading a key bloc of House Democrats,” HuffPost said. Meanwhile, Rep. Kuster and many of her colleagues in the New Democrat Coalition fought for inclusion of strong drug price provisions. This year’s historic drug price law in the Inflation Reduction Act is a huge win for patients – no thanks to Rep. Peters – and marks a shift in power in Big Pharma lobbying. “PhRMA, once a titanic lobbying powerhouse, lost its edge,” STAT reported. The message is clear: drug price policy matters. — (HuffPost, HuffPost, STAT)
BONUS: This #WorldAIDSDay, we recognized that people living with HIV/AIDS face exorbitant prices for essential drugs because of price gouging from Big Pharma. Gilead Sciences, which has a monopoly on many essential HIV and AIDS medications, price gouges patients taking its HIV antiviral treatment Biktarvy, charging more than $3,500 a month for a drug that is keeping people alive. We must continue to fight for equitable access to life-saving drugs.
Have a great weekend, everyone!
Happy Thanksgiving from P4AD! We’re immensely grateful for the historic progress made to lower drug prices this year.
Welcome To The Week In Review.
Election Results: Votes For Lower Drug Prices
Democrats did much better than expected in this year’s midterm election results – and a key part of their campaign for Congress was the new drug price law in the Inflation Reduction Act. “Throughout the campaign, Democrats showed how they’re delivering… lower prescription drug prices,” Protect Our Care summarized in a press release this week. Vincent DeMarco, President of the Maryland Citizens’ Health Initiative, agreed, explaining, “The lesson here is that health care…measures that are good policy are also good politics.” This checks out with voters. In Florida, 95 percent of Black voters supported allowing Medicare to negotiate lower prescription drug prices, and 93 percent of Latino voters supported lowering prescription drug prices. The results are clear: Americans want lower prices for their medication. — (Protect Our Care, The Baltimore Sun, Tallahassee Democrat)
2. #WorldDiabetesDay
On Monday, advocates and patients spread the word about World Diabetes Day – a global campaign to increase awareness about diabetes. Here at P4AD, we reflected on the monumental new drug price law passed this year that will cap insulin copays at $35 a month for Medicare patients starting in 2023, helping millions of Americans afford their insulin. But as long as the drug corporation cartel controls the world’s insulin market, there is more work to be done. We will continue to stand alongside people with diabetes and fight for lower insulin prices for all people. Insulin pricing is life or death.— (P4AD Twitter)
3. STAT Summit 2022
his week, STAT gathered innovators and thought leaders to talk about the future of health and medicine at their 2022 Summit. We heard mixed messages from Big Pharma leaders. PhRMA CEO Steve Ubl called out lawmakers for not doing enough to lower out-of-pocket costs for patients. This is a classic pharma trick where the industry creates a false dichotomy by claiming patients only care about lower out-of-pocket costs. P4AD’s David Mitchell set the record straight at a session the following day, pointing out that we must lower prices in order to lower out-of-pocket costs: “Lowering out-of-pocket without lowering prices is merely a cost-shift and that’s why it is so critical that we continue to work to try and arrive at prices that are appropriate.” Departing Merck CEO Ken Frazier, meanwhile, got it right. Frazier spoke bluntly with STAT about the importance of increased balance in the drug pricing system: “I think because of the importance of medicine to people, we have to think about it more from the perspective of optimizing access and optimizing profitability which, is more of a balance.” We couldn’t agree more! We must reform our system to ensure patients have access to the medications they need. — (STAT, Pink Sheet)
STAT’S RACHEL COHRS, DAVID MITCHELL, AND GUNNAR ESIASON
Have a great weekend, everyone!
Happy Veterans Day! Hope everyone is resting up post-election.
Welcome To The Week In Review.
Drug Pricing + The Election
While the final outcome of the midterm elections continues to hang in the balance, one thing is certain: A key part of the Democrats’ campaign for Congress was the new drug price law. The New York Times reported: “Democrats touted [their policies including] capping the cost of some prescription drug prices and insulin for Medicare recipients.” NBC wrote: “Both sides of the aisle tackled inflation in their ads, with Democrats primarily touting their efforts to lower prescription drug prices.” As we know, the drug price reforms from the Inflation Reduction Act are very popular with voters. Despite calls from some Republican senators to repeal the provisions, the law is likely here to stay, regardless of the outcome of the election. That’s good news for patients and taxpayers alike. — (The New York Times, NBC, Forbes, The Wall Street Journal)
2. We Need Patent Reform
Drug companies abuse the U.S. patent system to maintain monopolies on drugs, keep raising prices, and maximize profits. This week, Insider took a look at one of the worst offenders: Humira, a drug that treats several debilitating diseases, including severe arthritis, Crohn’s disease, and ulcerative colitis. Its manufacturer, AbbVie, has been gaming the patent system for years – the company filed for over 300 patents and received over 160 patents on Humira, preventing any generics from coming to market in the United States. AbbVie has raised the price of Humira – which has remained basically the same drug – 500% since it came to market 20 years ago. The result? Americans pay up to $3,000 per Humira pen. Comparatively, generic forms have been on the market for years in Europe, where patients pay 90 percent less for the same drug. Priti Krishtel, one of this year’s MacArthur Foundation’s “genius” award winners, spoke to Insider about the unjust U.S. patent system, saying, “I just don’t think that people should have to pay their life savings for life-saving medicines.” She added, “We’re going to have to design a health system that works for Americans, and that is designed by Americans.” We’re with you, Priti! It’s time to reform our patent system to bring an end to drug company abuses and lower prices for patients. — (Insider)
3. Lower Drug Prices Now
Americans continue to struggle to afford their prescription drugs. According to a new AARP report, nearly 1 in 5 adults between the ages of 40 to 64 said they’ve decided not to take medication as prescribed in the past 12 months because of cost. Annals of Internal Medicine’s report from last month estimated 1.3 million U.S. adults with diabetes rationed their insulin in the last year. The Washington Post uplifted the findings this week, highlighting that rationing was more common among lower and middle-income participants as well as Black participants. “The price of the four most popular types of insulin has tripled in the past decade,” the Post reported. A drug corporation cartel controls the world’s insulin market. It must change. We need lower drug prices now. — (AARP, The Washington Post)
Have a great weekend, everyone!
This No-vember we’re saying no to high drug prices.
Welcome To The Week In Review.
Sheldon and President Biden
On Tuesday, patient advocate Sheldon Armus, a Medicare beneficiary from Boynton Beach, FL, shared his story about the high price of his heart medications and introduced President Biden, thanking him for passing the Inflation Reduction Act which will lower drug prices and improve the health of millions of patients. “Knowing that we have leaders like President Biden fighting to bring down our drug prices — not keep money in the pockets of the pharmaceutical companies — means the world to seniors like my wife and myself, who have been waiting on this relief for years,” Sheldon shared before introducing the president. President Biden delivered remarks about lowering prescription drug costs through the Inflation Reduction Act, and called out Florida Senator Rick Scott, who has been pandering Big Pharma lies about the drug price reforms in the new law. In addition to introducing the president, Sheldon also penned a letter-to-the-editor expressing his frustration that his senator Marco Rubio cosponsored a bill that aims to reverse the drug price reforms passed in the Inflation Reduction Act. “Finally, Congress passed a law to allow Medicare to negotiate drug prices, and Senator Rubio wants to reverse it?! Makes no sense.” We are grateful to Sheldon for sharing his story with President Biden and for telling his Florida senators that patients like him are counting on the new drug price law to deliver relief. — (P4ADNow, Politifact, Sun Sentinel)
2. Patients Say No To GOP Bill
There was significant pushback this week to four Republican senators’ so-called Protect Drug Innovation Act, which aims to reverse the life-changing drug price reforms recently passed into law in the Inflation Reduction Act. A flurry of letters and op-eds fromaroundthecountrycalled out Senators Lankford (OK), Lee (UT), Lummis (WY), and Rubio (FL)’s recent effort to force Americans to pay more for their prescriptions. “It’s so disappointing to see Lee lead the effort to repeal these reforms before they are even fully implemented,” Marion Lennberg, a retiree in Salt Lake City, penned in an op-ed. “Utah seniors and their families are depending on all our elected leaders to put our needs ahead of political partisanship and corporate greed.” Meg Jackson-Drage, from Magna, UT who lives with fibromyalgia and neuropathic pain, both of which require costly medication, wrote, “Sen. Lee spews Big Pharma lies while he tries to make sure drug companies can continue to price gouge me for my prescriptions. I don’t understand how he can put drug company profits ahead of the needs of his constituents by pushing for the repeal of reforms that lower drug prices.” — (Door County Pulse, Altoona Mirror, Richmond Times-Dispatch, Montana Standard, Salt Lake Tribune, Salt Lake Tribune)
3. No Good Reason For High Rx Prices
A new study this week from JAMA found that cancer drugs aren’t priced based on effectiveness for patients. The study indicates “this suggests that cancer drugs are priced based predominantly on what the market will bear,” and thus what will bring in the most cash for Big Pharma. And the industry seems to have quite a large spending budget lately. Another new study from JAMA found a 70 percent increase in health industries’ spending on federal lobbying from 2000 to 2020. “PhRMA, the big drug industry lobby, has wielded the most power within the health care sector since 2017,” Axios reported. “It broke records on spending during the political battle over drug prices.” Clearly Big Pharma has plenty of money to spend. Then why do they make patients pay so much for drugs? Because all they care about is their bottom line. — (Medscape, Axios)
4. Patients Are Suffering From High Drug Prices
Americans across the country are unjustly affected by outrageously high drug prices. “Since COVID, we’ve seen the price of medicine skyrocket to pad the pocketbooks of CEOs as my constituents have taken food out of their shopping carts,” Rep. Teresa Leger Fernández said in an op-ed this week. Patients are rationing or forgoing their medication because they can’t afford it. For Antavia Worsham, the outcome was deadly — she tragically died at age 22 because she couldn’t afford the high price of her insulin. Insulin pricing disproportionately affects our minority communities. Latinos make up under 20 percent of the U.S. population, but the community is 70 percent more likely to be diagnosed with diabetes than non-Hispanic white adults, making them more likely to need insulin to live. It’s no wonder Hispanic voters have health care on their minds as they head to the polls. It is imperative that we continue to rein in Big Pharma’s greed and put human lives before corporate profits. — (Albuquerque Journal, 11 Alive, Tampa Bay Times, The Hill)
5. Big Pharma’s Latest Scapegoat, Same BS
Big Pharma is using the Inflation Reduction Act as its latest scapegoat to justify maximizing profits. This week, drug companies Alnylam Pharmaceuticals and Eli Lilly are using the new drug price law as their latest reason to stop investing in new drugs that won’t reap companies maximum profits. Drug company Alnylam claimed it wouldn’t further explore expanding the number of diseases its drug vutrisiran treats because it would make the drug eligible for Medicare negotiation. But vultrisiran and drugs that very treat rare diseases are unlikely to ever be eligible for negotiation, as they are unlikely to become one of the costliest drugs for Medicare. Arguments from pharma companies like Eli Lilly that the Inflation Reduction Act makes investment in small molecule drugs less profitable are simply a case of Big Pharma fear-mongering yet again. The Inflation Reduction Act actually improves the environment for small molecule drugs compared to biologics. The truth is, Big Pharma has been deciding which drugs to produce and which ones not to produce based on the industry’s profits for years – its latest ploy to throw the Inflation Reduction Act under the bus has nothing to do with saving patients’ lives and everything to do with maximizing profits. Same old pharma. — (Endpoints, Endpoints, STAT)
?️BONUS: It’s nearly election day! And drug prices are still top of mind as Americans cast their ballots. Patient advocate Jackie Trapp, who lives with a rare blood cancer, told CBS this week that she’s planning on voting for Democrats, and that “she’s looking forward to seeing those [drug] costs drop in coming years as drug-pricing provisions of the Inflation Reduction Act kick in.”
Have a great weekend, everyone!
FLORIDA — Patient advocate Sheldon Armus, a Medicare beneficiary from Boynton Beach, shared his story about the high price of his cardiac medications today and introduced President Biden, thanking him for passing the Inflation Reduction Act that will lower drug prices and improve the health of millions of patients. The president delivered remarks in Hallandale Beach about lowering prescription drug costs through the Inflation Reduction Act and protecting Social Security and Medicare.
Sheldon, 74, takes Xarelto and Brilinta, blood thinners that prevent him from developing dangerous blood clots that could lead to a heart attack or stroke. Sheldon explained that Johnson & Johnson has raised the price of Xarelto every year, far outpacing the rate of inflation. It now costs $500 for a 30-day supply, whereas if it had been held to the rate of inflation since 2013, its price would be less than $300 for a month’s supply.
The provisions in the Inflation Reduction Act will, for the first time, allow Medicare to negotiate lower drug prices, curb annual drug price increases to no more than the rate of inflation, cap out-of-pocket costs for Medicare Part D beneficiaries at $2,000 in 2025, limit monthly insulin copays to $35 per month for Medicare beneficiaries, and make adult vaccines free for Medicare beneficiaries starting next year.
“Medicare is gonna have the power to negotiate lower drug prices,” said President Biden at today’s speech. “The total amount of prescription drug prices you have to pay in any one year if you’re a senior on Medicare…will not be more than $2,000 a year – that’s it.”
“Sheldon is a tremendous advocate and we are grateful he shared his story while introducing the president today,” said Merith Basey, Patients For Affordable Drug Now’s Executive Director. “The Inflation Reduction Act will lower costs for hundreds of thousands of Floridians like Sheldon which will make a significant difference in improving their lives. This is one of the many reasons the drug price provisions are supported by almost 80 percent of Americans, including seven out of 10 Republicans.”
Sheldon added: “Knowing that we have leaders like President Biden fighting to bring down our drug prices — not keep money in the pockets of the pharmaceutical companies — means the world to seniors like my wife and myself, who have been waiting on this relief for years.”
Watch Sheldon’s remarks and the president’s full speech here.
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Thanks to the Inflation Reduction Act, millions of patients won’t get Tricked by Big Pharma, only Treated to lower drug prices ?
Welcome To The Week In Review (a day early, as P4AD is closed today).
Popular Provisions
A new poll from NBC News found that lowering health care costs and prescription drug prices is the most popular position that midterm candidates have taken during the general election. 84 percent of voters said they’re most likely to support a candidate with this position. It’s no wonder drug price reforms are popular – the provisions in the Inflation Reduction Act will be life-changing for Americans. “The drug pricing reforms that Congress passed are historic,” Senator Luján wrote in an op-ed this week. “Now, the 23,060 New Mexicans on Medicare will have their insulin costs capped at $35 per month.” The annual cap on Part D out-of-pocket costs along with requiring Medicare to negotiate “could save billions annually at the national level.” With World Psoriasis Day tomorrow, a patient with psoriasis celebrated how the provisions that “drive down drug prices are going to make a world of a difference for people like me, but also for countless working families, seniors, people with disabilities and communities of color.” — (NBC News, Las Cruces Sun News, Medscape, Minnesota Reformer)
2. Patient Feature: Therese Humphrey Ball
This week’s Tradeoffs Podcast features patient advocate Therese Humphrey Ball in an episode about how the Inflation Reduction Act’s overhaul of the Medicare prescription drug program, Part D, will deliver relief to seniors like Therese who previously have been on the hook for thousands of dollars in drug costs. Therese shares her moving story of living with multiple sclerosis and how she had to ration and eventually go off one of her medications, Copaxone, which cost her $6,000 a month. Going without the medication caused Therese’s multiple sclerosis to progress until one morning, she was unable to walk. “You can’t imagine how mad I was,” Therese shared, “…to think that in the United States of America, people have to do this. It is not right.” Thankfully, Therese has since gained back mobility and has been a strong force of advocacy over the years. Her voice is one of many that helped pass the historic reforms in the Inflation Reduction Act. “I can’t control my disease or change that I have MS, but telling you my story and advocating for lower prices is something I can control.” — (Tradeoffs Podcast)
3. Patients Footing The Bills
Prostate cancer drug Lupron Depot is a testosterone-suppressing drug invented nearly 50 years ago. After coming to market in 1973, Lupron’s manufacturers – Abbott and Takeda – abused the U.S. patent system to maintain a monopoly on the drug, allowing the companies to keep raising its price. Lupron is now priced at $5,866, and sold by AbbVie, for a three-month shot in the United States, compared to $260 in the United Kingdom. Because the shot must be administered at a hospital or doctor’s office, U.S. hospitals and clinics are able to markup the drug further to enhance their revenues. The high price of the drug incentivizes these upcharges and motivates providers to prescribe the drug. “Doctors and hospitals can earn tens of thousands of dollars each visit by marking up its price and administration fees.” For 60-year-old prostate cancer patient Paul Hinds, his bill for two shots of Lupron injections totalled $73,812 thanks to the high list price, lab work, and physician charges. Our drug price system allows every part of the drug pipeline to profit off of medications, leaving patients to foot the bill. We must reduce prices, stop patent abuses, and lower markups to deliver relief to patients. — (KHN/NPR)
